Gold Sponsor with a $1,000 donation
                 Receive a banner displayed at the outing.

                   Silver Sponsor with a $250 donation
                      Receive an individual sign on the course in a special color and size.

                Bronze Sponsor with a $100 donation
                      Receive a sign on the course shared with other bronze sponsors.








Name:                                                                           Phone:

Company:                                                                     E-Mail:

Address:




South Butler Community 
Meals on Wheels
Sponsor Registration
Contact for Golfer Registration:

Name:                                                                           Phone:

Company:                                                                     E-Mail:

Address:

Members of the Foursome are:

1.                                                                                          3.


2.                                                                                          4.              
Sponsor Name for Program and Sign:
Golfer Registration
Contact for Hole Sponsor Donation:

Note: Use your computer's print function to print form.
Family Sponsor $50 $75 (By name or anonymous)